How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $199.53 Median $3,019.95 Typical High $3,019.95 | Facility | None | $199.53 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $302.00 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $288.40 | $363.08 | $436.52 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $288.40 Typical High $398.11 | Professional | TC · Technical part | $208.93 | $288.40 | $398.11 |
DeanCare Setting Facility Modifier None Typical Low $194.98 Median $371.54 Typical High $489.78 | Facility | None | $194.98 | $371.54 | $489.78 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $223.87 | Facility | None | $77.62 | $100.00 | $223.87 |
Prevea360 Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $194.98 | Facility | None | $77.62 | $100.00 | $194.98 |
Quartz Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Security Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Security Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $389.05 Typical High $741.31 | Professional | None (both parts) | $371.54 | $389.05 | $741.31 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $123.03 | $281.84 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $32.36 | $72.44 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $91.20 | $208.93 | $467.74 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $50.12 Median $61.66 Typical High $79.43 | Facility | 80 · Assistant surgeon | $50.12 | $61.66 | $79.43 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $50.12 Median $61.66 Typical High $79.43 | Facility | 81 · Minimal assistant surgeon | $50.12 | $61.66 | $79.43 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $50.12 Median $61.66 Typical High $79.43 | Facility | 82 · Assistant surgeon, no resident | $50.12 | $61.66 | $79.43 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $43.65 Median $54.95 Typical High $69.18 | Facility | AS · PA/NP assist | $43.65 | $54.95 | $69.18 |
Where Wisconsin sits
The same service costs 61.7 times more in Delaware than in California. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 16th of 51
$407
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.